Avalon Healthcare Solutions · 1 week ago
Director, Legal Operations
Avalon Healthcare Solutions is the world's first Lab Insights company, striving to improve clinical outcomes and healthcare affordability. The Director, Legal Operations will oversee support for Legal, Compliance, Internal Audit, and Government Affairs, ensuring compliance and managing various operational functions across these departments.
AnalyticsHealth CareHospitalMedical
Responsibilities
Work across teams and departments, balancing competing objectives to accomplish goals and requirements
Support Legal Operations
Review various contract types (e.g., IT, Vendor, NDAs) and generate preliminary redlines for attorney review; support and/or directly negotiate with counterparties
Function as enterprise subject matter expert with respect to all aspects of Avalon’s compliance with CAGE Codes, Exclusion and Preclusion checks, including the preparation of associated client reporting
Respond to subpoenas and external counsel demands for medical records
Support and/or manage Avalon’s licensing functions and interactions with state Secretaries of State
Support Compliance Operations
Serve as the administrator/librarian for electronic policy administration
At the Chief Compliance Officer’s direction, maintain SLA/performance metric documentation regarding the 7 elements of an effective compliance program
Support Avalon’s FDR and third-party vendor oversight activities
At the Chief Compliance Officer’s direction and using professional judgment and institutional knowledge to assess risk levels, support auditing and/or investigatory functions, provide guidance on remediation planning, and prioritize remediation efforts
Support Internal Audit Operations
Facilitate responses to client audits of Avalon and corrective action plans; monitor associated follow up activities and provide related information to internal stakeholders
Facilitate quarterly enterprise risk assessments (ERA); manage risk survey responses
Support Avalon’s Risk Management processes
Coordinate with internal stakeholders and assist with all aspects of Avalon’s internal auditing activities, including assisting Internal Audit’s conducting of assurance audits and tracking of related management action plans
Provide additional support at Internal Audit’s direction
Support Government Affairs Operations
Responsible for ensuring timely submission of lobbying attestations, certifications, and related filings
Responsible for regularly reviewing the results of state bill tracking service with Avalon’s VP, Gov Affairs, Public Policy; provide interpretive assistance with respect to bills possibly relevant to Avalon and/or its clients; triage relevant bills and obtain internal stakeholder feedback; assist Avalon’s VP, Gov Affairs, Public Policy with written analysis as requested
Assist Government Affairs production of written materials in support of its lobbying and related activities
Qualification
Required
Bachelor's degree. May consider relevant work experience in lieu of a degree
Compliance certifications or will consider individuals currently working to attain such certifications
Expert knowledge of the health care industry and applicable laws and regulations
10+ years' health care legal or compliance experience
10+ years' experience with conducting or supporting internal and external audits
Strong working knowledge of laws, regulations, and related matters relevant to the operations of health plans
Experience developing and deploying: risk and compliance systems; contracting processes including contract reviews; internal auditing; legal department administration; compliance program requirements; and government affairs support
Excellent interpersonal skills with ability to maintain effective working relationships with all levels of management and ability to excel in a team environment
Preferred
10+ years general experience in either healthcare organizations, preferably within or involving managed care plans
Company
Avalon Healthcare Solutions
Avalon is the world’s first Lab Insights company pioneering a new era of value-driven care by unlocking the potential of lab results.
Funding
Current Stage
Growth StageTotal Funding
$54.27MKey Investors
Francisco Partners
2026-01-12Private Equity
2026-01-12Acquired
2018-01-01Debt Financing· $25M
Recent News
2026-01-16
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-13
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